Under a postcholecystectomy syndrome is defined as the occurrence of abdominal pain following a cholecystectomy.

(See also Overview biliary function.)

Under a postcholecystectomy syndrome is defined as the occurrence of abdominal pain following a cholecystectomy. (See also Overview biliary function.) The postcholecystectomy syndrome occurs in 5-40% of patients before. It is gallbladder symptoms that persist or develop after cholecystectomy or other symptoms that arise after cholecystectomy. The removal of the gallbladder, the storage organ for the bile normally has little adverse effects on the function of the bile duct or the pressure conditions. In approximately 10% of the gallbladder has its cause in apparently functional or structural changes of the sphincter of Oddi, with the consequence of altered biliary pressure or elevated Empflindlichkeit. The most common symptoms are more indigestion or other nonspecific symptoms as real biliary colic. The infrequent Papillary is a fibrotic constriction in Sphinktergebiet, probably due to trauma or inflammation as a result of pancreatitis, endoscopic procedures (eg. As ERCP) or stattgehabtem spontaneous stone passage occurs. Other causes include residual bile duct stones, pancreatitis, and gastroesophageal reflux. Diagnostic ERCP with biliary manometry or MRCP exclusion of non-biliärenSchmerzursachen patients with Postcholezystektomieschmerz should be clarified with regard extrabiliärer as well as biliary causes as described. If the pain is indicative of a biliary colic, alkaline phosphatase, bilirubin, ALT, amylase and lipase should be determined and carried out an MRCP optionally followed by a ERCP with biliary manometry (Laboratory studies of the liver and gall bladder and Imaging tests of the liver and gall bladder). Elevated liver enzymes have a sphincter of Oddi dysfunction suspect; elevated levels of amylase and lipase indicate a dysfunction of pancreatic portion of the sphincter. A dysfunction is most surely detected by biliary manometry during ERCP, however, the ERCP involves a 15 to 30% risk of a post-interventional pancreatitis. The manometry shows an increased pressure in the biliary tract. A slow transit time in the bile ducts in scintigraphy also indicates a sphincter of Oddi dysfunction. The diagnosis of papillary stenosis is based on a unique history of recurrent episodes of biliary pain and abnormal liver enzyme values ??(or pancreas). Occasionally therapy endoscopic sphincterotomy Endoscopic sphincterotomy can fix recurring pain due to sphincter of Oddi dysfunction, especially when they have arisen due to a papillary stenosis. ERCP and manometry were used to treat pain after cholecystectomy; However, there is no evidence that this treatment is effective in patients without objective signs of illness. These patients should be treated symptomatically.

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